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The Fate of the Contralateral Knee in Patients With a Lateral Discoid Meniscus

Authors
 Sang-Woo Jeon  ;  Chong Hyuk Choi  ;  Min Jung  ;  Yong-Min Chun  ;  Sung-Jae Kim  ;  Seokhwan Jin  ;  Sung-Hwan Kim 
Citation
 Arthroscopy - the Journal of Arthroscopic and Related Surgery, Vol.35(2) : 500-506, 2019 
Journal Title
 Arthroscopy - the Journal of Arthroscopic and Related Surgery 
ISSN
 0749-8063 
Issue Date
2019
Abstract
PURPOSE: To analyze the survivorship of the lateral meniscus (LM) in the contralateral knee after surgery for symptomatic torn discoid lateral meniscus (DLM) and to determine its associated factors. METHODS: Two hundred ninety-six patients who underwent arthroscopic meniscectomy for torn symptomatic DLM were reviewed retrospectively. Patients were classified into subgroups based on demographic, clinical, and radiologic variables. The survivorship analysis of the LM on the contralateral knee was calculated using the Kaplan-Meier method, and comparison among the subgroups was conducted using the log-rank test. The predicted prognostic factors associated with survivorship were determined using Cox proportional hazard regression analysis. RESULTS: Of the 296 patients, 51 (17%) had arthroscopic surgery in the contralateral knee during the study period. The group ≥40 years old had significantly worse survival than the group <40 (log-rank test, P < .001). In terms of radiologic variables, the group with Kellgren-Lawrence grade 3 or 4 had significantly poorer survivorship than that with grade 1 or 2 (log-rank test, P = .045). Age ≥40 years was associated with poorer survivorship (hazard ratio, 3.235; 95% confidence interval, 1.782-5.875; P < .001). Kellgren-Lawrence grades 3 and 4 in the contralateral knee were associated with poorer survival (hazard ratio, 2.071; 95% confidence interval, 1.061-4.043; P = .033). The cumulative survival rate at 10 years of the LM in the contralateral knee after surgery for symptomatic torn DLM was 81%. CONCLUSIONS: Patients with a lateral discoid meniscus have a risk of a similar condition in the contralateral knee. Increased risks of symptomatology are associated with age and degenerative changes. LEVEL OF EVIDENCE: Level IV, retrospective uncontrolled case series.
Full Text
https://www.sciencedirect.com/science/article/pii/S0749806318306662
DOI
10.1016/j.arthro.2018.07.045
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sung Jae(김성재)
Kim, Sung Hwan(김성환) ORCID logo https://orcid.org/0000-0001-5743-6241
Jung, Min(정민) ORCID logo https://orcid.org/0000-0002-7527-4802
Jin, Seokhwan(진석환)
Chun, Yong Min(천용민) ORCID logo https://orcid.org/0000-0002-8147-6136
Choi, Chong Hyuk(최종혁) ORCID logo https://orcid.org/0000-0002-9080-4904
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/169370
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